Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis

Abstract Vancomycin-resistant enterococci are a global challenge currently as reported by the World Health Organization. It is also important to recognize that combating antimicrobial resistance needs to recognize the interconnections between people, animals, plants and their shared environment in c...

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Autores principales:	Tsegaye Alemayehu, Mengistu Hailemariam
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6f351b4121584d2c9b08372337707d29
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spelling	oai:doaj.org-article:6f351b4121584d2c9b08372337707d292021-12-02T16:08:47ZPrevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis10.1038/s41598-020-77696-62045-2322https://doaj.org/article/6f351b4121584d2c9b08372337707d292020-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-77696-6https://doaj.org/toc/2045-2322Abstract Vancomycin-resistant enterococci are a global challenge currently as reported by the World Health Organization. It is also important to recognize that combating antimicrobial resistance needs to recognize the interconnections between people, animals, plants and their shared environment in creating public health, the so-called One Health approach. Although the presence of VRE has been described in many regions of the world, there is a lack of comprehensive data indicating their prevalence of in Africa. Therefore, this study aimed to aggregate the result of studies describing VRE reported across multiple regions in Africa. A literature search was conducted on PubMed, Google scholar, and Hinari with the term “Vancomycin resistance enterococcus in Africa” on August 1–3, 2019. All available articles were downloaded to “Endnote version 7.1” then to Microsoft Word 2013. Articles determined to meet our criteria for the review was extracted to Microsoft Excel 2013. Those articles that reported the prevalence of vancomycin resistance Enterococcus obtained from all sample types and published from 2010 to 2019 in the English language were included for the review. A meta-analysis was conducted with OpenMetaAnalyst version R.3.1.0 software. The effect size was determined using a binary random effect model and statically significant considered when p < 0.05. Heterogeneity determined with the inconsistency index. A leave one out analysis used to perform the sensitivity analysis. There were 151 articles identified from the database searches; of this, 36 articles included after extensive review with two independent authors. Out of 4073 samples collected, 1488 isolates identified with an overall pooled prevalence of VRE 26.8% (95% CI; 10.7–43.0%) in Africa with a one-health perspective. The analysis showed that considerable heterogeneity among the studies (I2 = 99.97%; p < 0.001). Subgroup analysis in-country, African region, laboratory method, year of publication, and sample source showed that a high prevalence was identified from South Africa (74.8%), South African regions (74.8%), PCR (959.2%), 2010–2015 years (30.3%) and environmental (52.2%), respectively. This meta-analysis indicates that there was a high-pooled prevalence of vancomycin-resistant enterococci in African. A lot should be done to prevent and control the transmission of vancomycin resistance enterococci to a human being from the environment in the continent.Tsegaye AlemayehuMengistu HailemariamNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tsegaye Alemayehu Mengistu Hailemariam Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis
description	Abstract Vancomycin-resistant enterococci are a global challenge currently as reported by the World Health Organization. It is also important to recognize that combating antimicrobial resistance needs to recognize the interconnections between people, animals, plants and their shared environment in creating public health, the so-called One Health approach. Although the presence of VRE has been described in many regions of the world, there is a lack of comprehensive data indicating their prevalence of in Africa. Therefore, this study aimed to aggregate the result of studies describing VRE reported across multiple regions in Africa. A literature search was conducted on PubMed, Google scholar, and Hinari with the term “Vancomycin resistance enterococcus in Africa” on August 1–3, 2019. All available articles were downloaded to “Endnote version 7.1” then to Microsoft Word 2013. Articles determined to meet our criteria for the review was extracted to Microsoft Excel 2013. Those articles that reported the prevalence of vancomycin resistance Enterococcus obtained from all sample types and published from 2010 to 2019 in the English language were included for the review. A meta-analysis was conducted with OpenMetaAnalyst version R.3.1.0 software. The effect size was determined using a binary random effect model and statically significant considered when p < 0.05. Heterogeneity determined with the inconsistency index. A leave one out analysis used to perform the sensitivity analysis. There were 151 articles identified from the database searches; of this, 36 articles included after extensive review with two independent authors. Out of 4073 samples collected, 1488 isolates identified with an overall pooled prevalence of VRE 26.8% (95% CI; 10.7–43.0%) in Africa with a one-health perspective. The analysis showed that considerable heterogeneity among the studies (I2 = 99.97%; p < 0.001). Subgroup analysis in-country, African region, laboratory method, year of publication, and sample source showed that a high prevalence was identified from South Africa (74.8%), South African regions (74.8%), PCR (959.2%), 2010–2015 years (30.3%) and environmental (52.2%), respectively. This meta-analysis indicates that there was a high-pooled prevalence of vancomycin-resistant enterococci in African. A lot should be done to prevent and control the transmission of vancomycin resistance enterococci to a human being from the environment in the continent.
format	article
author	Tsegaye Alemayehu Mengistu Hailemariam
author_facet	Tsegaye Alemayehu Mengistu Hailemariam
author_sort	Tsegaye Alemayehu
title	Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis
title_short	Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis
title_full	Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis
title_fullStr	Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis
title_full_unstemmed	Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis
title_sort	prevalence of vancomycin-resistant enterococcus in africa in one health approach: a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/6f351b4121584d2c9b08372337707d29
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Prevalence of vancomycin-resistant enterococcus in Africa in one health approach: a systematic review and meta-analysis

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